tag:blogger.com,1999:blog-549949223388475481.post2298793751283940198..comments2024-03-28T14:02:08.119-05:00Comments on Dr. Smith's ECG Blog: Atypical Chest Pain: Suspicious ECG, and a Left Main ACS is found in a 30-somethingUnknownnoreply@blogger.comBlogger6125tag:blogger.com,1999:blog-549949223388475481.post-65502063179166698372013-05-07T11:42:58.050-05:002013-05-07T11:42:58.050-05:00I will put a graphic in to show itI will put a graphic in to show itSteve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-31000893871563963582013-05-07T11:30:36.469-05:002013-05-07T11:30:36.469-05:00Definitely, should have mentioned it and will edit...Definitely, should have mentioned it and will edit it. Thanks.Steve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-9647380594033389342013-05-07T11:29:47.134-05:002013-05-07T11:29:47.134-05:00It is the deformation of the T-wave which could be...It is the deformation of the T-wave which could be anterior ischemia, and then it normalizes. I don't see a lot of evidence of a posterior reperfusion T-wave (it is not abnormally large), but it could be. I don't think we know enough about T-wave dynamics in LAD ischemia, but there given the cath results, LAD ischemia at the time of the ECG was highly likely.Steve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-51597744582260304702013-05-07T11:24:46.308-05:002013-05-07T11:24:46.308-05:00Dr. Smith,
Great case and good work.
If possible ...Dr. Smith,<br /><br />Great case and good work.<br />If possible could you please elaborate a bit more on what is meant by the deformed T- wave in V2? <br />Thank you. SKhanhttps://www.blogger.com/profile/12297107680827484572noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-45052721218375726592013-05-07T09:20:21.070-05:002013-05-07T09:20:21.070-05:00Hi,
You mention the other large T waves, but what ...Hi,<br />You mention the other large T waves, but what about in lead aVF - it is not huge in absolute terms, but towers over the QRS complex. Would you go by this as well? It stood out to me, moreso than the others. Thanks,<br />EricErichttps://www.blogger.com/profile/16570038870013068489noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-10875185967261003882013-05-07T09:16:23.494-05:002013-05-07T09:16:23.494-05:00Dr. Smith,
regarding the evolved T wave in V2...
I...Dr. Smith,<br />regarding the evolved T wave in V2...<br />I believe it could suggest posterior ischemia because the much larger upright T wave may be the reciprocal of a posterior reperfusion T wave if I am following you correctly.<br /><br />How, though, might it represent "anterior ischemia"?<br /><br />-DavidDave Bhttps://www.blogger.com/profile/04348546121665459931noreply@blogger.com